Healthcare Provider Details

I. General information

NPI: 1821139551
Provider Name (Legal Business Name): NO FRILLS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 HARLAN DR
BELLEVUE NE
68005-3650
US

IV. Provider business mailing address

6232 N 104TH ST
OMAHA NE
68134-1012
US

V. Phone/Fax

Practice location:
  • Phone: 402-682-9898
  • Fax: 402-682-9899
Mailing address:
  • Phone: 402-657-1793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2477
License Number StateNE

VIII. Authorized Official

Name: MICHAEL AKSAMIT
Title or Position: PRESIDENT
Credential: RPH
Phone: 402-657-1793